Provider Demographics
NPI:1013616168
Name:DORSETT, MALAYSIA
Entity type:Individual
Prefix:
First Name:MALAYSIA
Middle Name:
Last Name:DORSETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 WILKINS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1305
Mailing Address - Country:US
Mailing Address - Phone:412-475-8814
Mailing Address - Fax:
Practice Address - Street 1:6507 WILKINS AVE STE 103
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1305
Practice Address - Country:US
Practice Address - Phone:412-475-8814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0257271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical